Tubo-ovarian abscess with endometrial cyst probably infected by Campylobacter fetus: Two cases

J Obstet Gynaecol Res. 2016 Aug;42(8):1052-7. doi: 10.1111/jog.13004. Epub 2016 Apr 14.

Abstract

Campylobacter fetus often causes systemic infection in immunocompromised or older patients, and prenatal infection, but Campylobacter has rarely been reported as a cause of adnexitis in healthy young women. Here we report two cases of endometriotic cysts infected by C. fetus for the first time. In case 1, a 28-year-old woman with a left adnexal cyst was hospitalized for left tubo-ovarian abscess and underwent left salpingo-oophorectomy. In case 2, a 22-year-old woman with a right adnexal cyst was hospitalized for a bilateral tubo-ovarian abscess and underwent right salpingo-oophorectomy and left salpingectomy. In both cases, C. fetus was detected on culture, and histopathology indicated a purulent endometriotic cyst. The present findings suggest that endometriotic cyst can be a focus of C. fetus infection.

Keywords: Campylobacter fetus; adnexitis; bacteremia; endometriotic cyst; tubo-ovarian abscess.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / complications
  • Abscess / diagnostic imaging
  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Campylobacter Infections / complications
  • Campylobacter Infections / diagnosis*
  • Campylobacter fetus / isolation & purification
  • Campylobacter fetus / pathogenicity*
  • Female
  • Fever / complications
  • Humans
  • Ovarian Cysts / diagnosis*
  • Ovarian Cysts / microbiology*
  • Ovarian Cysts / surgery
  • Ovariectomy
  • Pelvic Inflammatory Disease / diagnosis*
  • Pelvic Inflammatory Disease / microbiology*
  • Pelvic Inflammatory Disease / surgery
  • Salpingectomy
  • Treatment Outcome
  • Young Adult

Substances

  • Anti-Bacterial Agents